2012-11-15T10:03:10-06:00 2012-03-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2011-04-01 363667121 NATIONAL SOCIETY TO PREVENT BLINDNESS NATI 3123636001 211 W WACKER DR NO 1700 CHICAGO IL 60606 JEROME D DESSERICH 3123636001 2012-11-12 1 LU ANN TRAPP P01506476 3122071040 2012-11-12 2011 2016-02-24 21:20:13Z PREVENT BLINDNESS AMERICA HUGH R PARRY 211 W WACKER DR NO 1700 CHICAGO IL 60606 5747340 0 X PREVENTBLINDNESS.ORG X 1908 IL WE SERVE THE PUBLIC TO PREVENT BLINDNESS AND PRESERVE SIGHT THROUGH EDUCATION, CERTIFIED VISION SCREENING AND TRAINING, COMMUNITY AND PATIENT SERVICE PROGRAMS, ADVOCACY, AND SUPPORT OF VISION RESEARCH. 29 29 171 250 0 0 3642289 3791100 932187 870406 274403 228643 172330 24837 5021209 4914986 1113440 586068 0 0 2862359 2555223 146176 79460 318362 1896229 1377409 6018204 4598160 -996995 316826 12184215 12513873 1646350 1703871 10537865 10810002 X THIS VOLUNTARY HEALTH ORGANIZATION SERVES THE PUBLIC TO PREVENT BLINDNESS AND PRESERVE SIGHT THROUGH EDUCATION, ADVOCACY, CERTIFIED VISION SCREENING AND TRAINING, COMMUNITY AND PATIENT SERVICE PROGRAMS AND SUPPORT OF VISION RESEARCH. 0 0 1256484 167463 330708 PUBLIC EDUCATION- INFORMING THE GENERAL PUBLIC ABOUT THE BASIC FACTS OF EYE CARE, HEALTH, AND SAFETY, AND MOTIVATING THEM TO APPROPRIATE ACTION; CONDUCTED THROUGH MASS MEDIA SUCH AS TV, RADIO, NEWSPAPERS, MAGAZINES AND FILMS, THROUGH THE DISTRIBUTION OF PUBLICATIONS AND THROUGH RESPONSES TO INQUIRIES FROM THE PUBLIC. SERVED 2 MILLION PEOPLE NATIONWIDE. 767281 138993 132109 PROFESSIONAL EDUCATION & TRAINING- SERVING AS AN AUTHORITATIVE SOURCE OF INFORMATION ON THE LATEST DEVELOPMENTS IN VISION AND EYE CARE SO THAT EYE CARE PROFESSIONALS, NURSES, TEACHERS, SOCIAL WORKERS, AND OTHERS IN THE FIELD OF BLINDNESS PREVENTION CAN BETTER SERVE THEIR RESPECTIVE CLIENTS. SERVED OVER 9 THOUSAND PROFESSIONALS NATIONWIDE. 790197 129398 396787 COMMUNITY SERVICE- SPONSORING AND PROMOTING SCREENING PROGRAMS FOR THE EARLY DETECTION OF SIGNS OF EYE TROUBLE AMONG CHILDREN AND ADULTS. SCREENED 2.3 MILLION PATIENTS NATIONWIDE. PROMOTING EYE SAFETY, INCLUDING OCCUPATIONAL, SCHOOL AND HOME SAFETY PROGRAMS; PROVIDING INDUSTRY WITH AN APPROVED EYE SAFETY INCENTIVE PROGRAM BASED ON THE USE OF SAFETY EYEWEAR. 515615 150214 10802 RESEARCH- SUPPORT BASIC AND CLINICAL VISION RESEARCH INTO AREAS BEARING ON THE PREVENTION OF BLINDNESS AND CONSERVATION OF VISION. 515615 150214 10802 3329577 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 1 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 13 0 171 1 0 0 0 0 0 1 1 0 0 0 0 X 29 29 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 AL AR AZ CA DC IL KS KY LA ME MA MD MI MN MS MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY FL GA X X X JEROME DESSERICH 3123636001 211 W WACKER DR STE 1700 CHICAGO IL 60606 JAMES E ANDERSON 2.00 X X 0 0 0 STEVE CORMAN 2.00 X X 0 0 0 PAUL G HOWES 2.00 X X 0 0 0 MARGE AXELRAD 1.00 X 0 0 0 SANDRA S BLOCK OD MED 1.00 X 0 0 0 R MICHAEL DALEY 1.00 X 0 0 0 GARY DAVIS 1.00 X 0 0 0 TRACY DIETERICH 1.00 X 0 0 0 RICK ELIAS 1.00 X 0 0 0 JULIAN GANGOLLI 1.00 X 0 0 0 R RICK HART 1.00 X 0 0 0 BRIAN S KLINGER OS FAAO 1.00 X 0 0 0 BRENDA J LUCKRITZ 1.00 X 0 0 0 JAMES ROBINSON LYNCH 1.00 X 0 0 0 BRETTE MCCLELLAN 1.00 X 0 0 0 KATHY MCGINNIS 1.00 X 0 0 0 GEORGE NEAL 1.00 X 0 0 0 MILDRED MG OLIVIER MD 1.00 X 0 0 0 JOHN D O'NEILL JR 1.00 X 0 0 0 CYNTHIA OWSLEY PHD MSPH 1.00 X 0 0 0 MICHAEL R PENDER JR CPA 1.00 X 0 0 0 DAVE PIERSON 1.00 X 0 0 0 DENNIS PODLESAK 1.00 X 0 0 0 MARY BLANKENSHIP POINTER 1.00 X 0 0 0 RICHARD SANCHEZ 1.00 X 0 0 0 J JAMES THIMONS OD 1.00 X 0 0 0 GLENN C VAN DEUSEN 1.00 X 0 0 0 JAKE VANDER ZANDEN 1.00 X 0 0 0 KURT ZOLLER 1.00 X 0 0 0 HUGH R PARRY 40.00 X 242532 0 26517 JEFFREY P TODD 40.00 X 136548 0 18999 JEROME D DESSERICH 40.00 X 127801 0 15976 KATHY NELSON 40.00 X 114439 0 14343 621320 0 75835 4 0 1 0 DRINKER BIDDLE & REATH LLP 1500 K ST NW SUITE 1100 WASHINGTON DC DC 20005 GOVERNMENT RELATIONS CONSULTING 171000 BLACKMAN KALLICK LLP 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 AUDIT AND ACCOUNTING SERVICES 106720 2 6411 91060 887706 2805923 3791100 AFFILIATE SUPPORT 900099 767584 767584 PUBLICATION SALES 900099 94792 94792 SCREENING MATERIAL SAL 900099 8030 8030 870406 81412 81412 929622 782391 147231 147231 147231 40331 91060 49963 -9632 -9632 OTHER REVENUE 900099 34469 34469 34469 4914986 870406 0 253480 551068 551068 35000 35000 568373 414619 125469 28285 1552244 1132490 339702 80052 86495 63027 20453 3015 174946 127479 41368 6099 173165 114630 50160 8375 7743 1703 5653 387 115900 25498 84607 5795 178500 173145 5355 79460 79460 26751 26751 262596 221684 29953 10959 135971 58127 71371 6473 172178 51141 119229 1808 125335 104717 8488 12130 123573 101182 16213 6178 52025 41132 8292 2601 15834 12598 2444 792 PROGRAM RELATED PRINTIN 71235 71235 FUNDRAISING EXPENSES 54095 54095 35673 29102 68 6503 4598160 3329577 950221 318362 X 114443 22889 0 91554 183530 604567 108367 192329 874531 1035332 56090 62380 2002459 596154 1457580 1406305 4270748 4036937 389896 388542 4843473 4787481 12184215 12513873 412271 406747 22801 36750 0 74500 1211278 1185874 1646350 1703871 X 3193291 2972210 1247000 1796208 6097574 6041584 10537865 10810002 12184215 12513873 X 316826 -44689 X 0 1 1 X 1 1 X 5546535 5604809 4262738 3642289 3791100 22847471 5546535 5604809 4262738 3642289 3791100 22847471 3178090 19669381 101116 64718 95184 91488 81412 433918 81428 88714 159996 162657 34469 527264 23808653 2040814 0.82610 0.82760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 20459 20459 207574 269506 228033 289965 4370127 10133818 4598160 10423783 379908 671189 94977 167797 0 0 0 0 734918 717886 733579 671189 2857572 4286358 523594 543843 363438 289965 1720840 183730 179472 183395 167797 714394 1071591 888 750 55636 20459 77733 6097574 4425 60415 6041584 5751637 345937 6097574 4778501 973136 5751637 6220557 -1442056 4778501 0.00000 1.00000 0.00000 1 0 322148 322148 1300890 235887 1065003 379421 360267 19154 1406305 INTEREST IN TRUSTS 4787481 4787481 4914986 4598160 316826 11301 -55990 -44689 272137 4843546 11301 -55990 -44689 4888235 26751 26751 4914986 4571409 0 4571409 26751 26751 4598160 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INCOME TO BE USED TO SUPPORT ORGANIZATION'S PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: PREVENT BLINDNESS AMERICA'S APPLICATION OF GAAPUSA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THEY HAVE NO MATERIAL UNRECOGNIZED INCOME TAX BENEFITS, INCLUDING ANY POTENTIAL RISK OF LOSS OF ITS NOT-FOR-PROFIT TAX STATUS. PREVENT BLINDNESS AMERICA WOULD ACCOUNT FOR ANY POTENTIAL INTEREST OR PENALTIES RELATED TO POSSIBLE FUTURE LIABILITIES FOR UNRECOGNIZED INCOME TAX BENEFITS AS INCOME TAX EXPENSE. PREVENT BLINDNESS AMERICA IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR PERIODS BEFORE 2009. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN TRUSTS -55,990. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MARKET VALUE OF BENEFICIAL INTERESTS IN TRUSTS -55,990. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS INVESTMENT IN FOREIGN HEDGE FUND 388542 0 0 0 0 0 0 388542 0 388542 0 0 0 0 0 0 X X X X X X 1 MAGNET DIRECT 321 MANLEY ST WEST BRIDGEWATER MA 02379 DIRECT MAIL CONSULTING 0 31194 31131 63 MARANVILLE & ASSOC PO BOX 5293 MORTON IL 61550 CONSULTING ON PLANNED GIVING 0 0 42000 -42000 31194 73131 -41937 AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY GOLF 124660 91060 33600 45158 4805 AUCTION 5323 5323 129983 91060 38923 45158 4805 49963 -11040 1 JOHNS HOPKINS UNIVERSITY 1101 E 33RD STREET BALTIMORE MD 21218 520595110 501(C)(3) 108815 VISION RESEARCH HEALTH RESEARCH INC 150 BROADWAY 560 MENARDS NY 12204 141402115 501(C)(3) 89628 VISION RESEARCH DUKE CLINICAL RESEARCH INSTITUTE PO BOX 17969 DURHAM NC 27715 560532129 501(C)(3) 26930 VISION RESEARCH CHILDREN'S HOSPITAL BOSTON 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 501(C)(3) 25132 VISION RESEARCH PREVENT BLINDNESS NORTHERN CALIFORNIA 1388 SUTTER STREET SAN FRANCISCO CA 94109 946139663 501(C)(3) 40000 VISION EDUCATION PREVENT BLINDNESS TEXAS 2202 WAUGH DRIVE HOUSTON TX 77006 746075105 501(C)(3) 78688 VISION RESEARCH PREVENT BLINDNESS NORTH CAROLINA 4011 WESTCHASE RALEIGH NC 27607 566088141 501(C)(3) 65300 VISION RESEARCH PREVENT BLINDNESS OHIO 246 N HIGH STREET COLUMBUS OH 43215 316063433 501(C)(3) 51756 VISION RESEARCH PREVENT BLINDNESS GEORGIA 739 W PEACHTREE NW ATLANTA GA 30305 586050305 501(C)(3) 24347 VISION RESEARCH PREVENT BLINDNESS TRI-STATE 101 WHITNEY NEW HAVEN CT 06510 060706741 501(C)(3) 42884 VISION RESEARCH 10 0 SCHOLARSHIPS TO CONTEST WINNERS 3 35000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PREVENT BLINDNESS AMERICA HAS A PROCESS IN PLACE FOR MONITORING THE USE OF GRANTS WE PROVIDE. WE REQUIRE MONTHLY, MID-YEAR AND FINAL FINANCIAL AND PROGRAM REPORTS. WE RESERVE THE RIGHT TO HOLD PAYMENTS, PENDING RECEIPT AND APPROVAL OF THE APPROPRIATE REPORTS. FURTHER, WE REGULARLY MEET WITH OUR GRANTEES TO ENSURE THEY ARE MAKING PROGRESS IN THEIR ACTIVITES. X X 0 0 0 0 0 0 0 0 0 HUGH R PARRY 242532 0 0 0 0 0 17150 0 9367 0 269049 0 0 0 JEFFREY P TODD 136548 0 0 0 0 0 9800 0 9199 0 155547 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL VOTING MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCING THE CONFLICT OF INTEREST POLICY INCLUDES ANNUAL REVIEW AND DISCLOSURE BY ALL KEY VOLUNTEERS AND STAFF. THE BOARD OF DIRECTORS THEN REVIEW FOR ANY POTENTIAL CONFLICTS. THE PRESIDENT/CEO'S ANNUAL PERFORMANCE EVALUATION IS COMPLETED BY THE BOARD CHAIR. IN THE YEARS WHERE AN INCREASE TO COMPENSATION IS MERITED, THE BOARD CHAIR AND 2-3 EXECUTIVE COMMITTEE MEMBERS WOULD REVIEW THE COMPENSATION AND DEBATE ON AN APPROPRIATE INCREASE TO THE COMPENSATION. ANY ADJUSTMENTS ARE APPROVED IN WRITING BY THE BOARD CHAIR AND THE OTHER BOARD MEMBERS. THIS DOCUMENTATION IS MAINTAINED IN THE HUMAN RESOURCES FILE OF THE ORGANIZATION. FOR SENIOR MANAGEMENT TEAM MEMBERS, A SALARY COMPARISON STUDY WAS UTILIZED AT THE TIME OF HIRE TO ESTABLISH REASONABLE COMPENSATION FOR THE THREE MOST RECENT HIRES. THE ORGANIZATION PLANS TO FORMALLY DOCUMENT AND IMPROVE THE COMPENSATION REVIEW PROCESS TO INCLUDE COMPARABLE COMPENSATION DATA OF SIMILAR ORGANIZATIONS AND ADDITIONAL DOCUMENTATION OF THE DELIBERATION PROCESS COMPLETED BY THE EXECUTIVE COMMITTEE MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 OUR ANNUAL REPORT AND FORM 990 ARE AVAILABLE ON OUR WEBSITE. THESE, ALONG WITH OTHER DOCUMENTS, SUCH AS GOVERNING DOCUMENTS AND POLICIES, ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 11,301. CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN TRUSTS -55,990. TOTAL TO FORM 990, PART XI, LINE 5: -44,689. FORM 990, PART I, LINE 5 AND PART V, LINE 2A: TOTAL NUMBER OF EMPLOYEES THE ORGANIZATION ACTS AS A COMMON PAYMASTER FOR THE NATIONAL SOCIETY TO PREVENT BLINDNESS AFFILIATES AND ISSUED A TOTAL OF 171 W-2S FOR ALL AFFILIATED ORGANIZATIONS. OF THE TOTAL 171 W-2S, 35 WERE ISSUED FOR EMPLOYEES OF THE NATIONAL SOCIETY TO PREVENT BLINDNESS. NSPB TRI-STATE AFFILIATE 101 WHITNEY AVE NEW HAVEN CT 06510 060706741 PREVENT BLINDNESS PROGRAMS CT 501(C)(3) LINE 7 N/A 0 NSPB MID-ATLANTIC AFFILIATE 11618 BUSY ST RICHMOND VA 23236 237033230 PREVENT BLINDNESS PROGRAMS VA 501(C)(3) LINE 7 N/A 0 NSPB OHIO AFFILIATE 1500 W THIRD ST COLUMBUS OH 43212 316063433 PREVENT BLINDNESS PROGRAMS OH 501(C)(3) LINE 7 N/A 0 NSPB INDIANA AFFILIATE 70 E 91ST INDIANAPOLIS IN 46240 356040676 PREVENT BLINDNESS PROGRAMS IN 501(C)(3) LINE 7 N/A 0 NSPB WISCONSIN AFFILIATE 759 N MILWAUKEE ST MILWAUKEE WI 53202 396096227 PREVENT BLINDNESS PROGRAMS WI 501(C)(3) LINE 7 N/A 0 NSPB IOWA AFFILIATE 1111 NINTH ST DES MOINES IA 50314 426083207 PREVENT BLINDNESS PROGRAMS IA 501(C)(3) LINE 7 N/A 0 NSPB NEBRASKA AFFILIATE 6818 GROVER STE 102 OMAHA NE 68106 470539539 PREVENT BLINDNESS PROGRAMS NE 501(C)(3) LINE 7 N/A 0 NSPB TENNESSEE AFFILIATE 95 WHITE BRIDGE RD NASHVILLE TN 37205 510240507 PREVENT BLINDNESS PROGRAMS TN 501(C)(3) LINE 7 N/A 0 NSPB NORTH CAROLINA AFFILIATE 4011 WESTCHASE BLVD RALEIGH NC 27607 566088141 PREVENT BLINDNESS PROGRAMS NC 501(C)(3) LINE 7 N/A 0 NSPB GEORGIA AFFILIATE 739 WEST PEACHTREE ST NW ATLANTA GA 30308 586050305 PREVENT BLINDNESS PROGRAMS GA 501(C)(3) LINE 7 N/A 0 NSPB FLORIDA AFFILIATE 8401 BENJAMIN ROAD STE G TAMPA FL 33634 596181662 PREVENT BLINDNESS PROGRAMS FL 501(C)(3) LINE 7 N/A 0 NSPB OKLAHOMA AFFILIATE 6 NE 63RD ST OKLAHOMA CITY OK 73105 736108998 PREVENT BLINDNESS PROGRAMS OK 501(C)(3) LINE 7 N/A 0 NSPB TEXAS AFFILIATE 2202 WAUGH DR HOUSTON TX 77006 746075105 PREVENT BLINDNESS PROGRAMS TX 501(C)(3) LINE 7 N/A 0 NSPB NORTHERN CALIFORNIA AFFILIATE 1388 SUTTER ST SAN FRANCISCO CA 94109 946139663 PREVENT BLINDNESS PROGRAMS CA 501(C)(3) LINE 7 N/A 0 NSPB TRI-STATE AFFILIATE (NJ) 101 WHITNEY AVE NEW HAVEN CT 06510 222693493 PREVENT BLINDNESS PROGRAMS NJ 501(C)(3) LINE 7 N/A 0 0 1 0 0 0 1 0 0 0 0 1 0 1 0 1 1 1 1 NATIONAL SOCIETY TO PREVENT BLINDNESS 211 W WACKER DRIVE 1700 CHICAGO IL 60606 363667121 X 20459 207574 228033 4370127 4598160 379908 94977 0 0 0 PREVENT BLINDNESS OHIO 1500 W 3RD AVE COLUMBUS OH 43212 316063433 X 0 27050 27050 1698787 1725837 236292 59073 0 0 0 PREVENT BLINDNESS MID-ATLANTIC 11618 BUSY ST RICHMOND VA 23236 237033230 X 0 10250 10250 718511 728761 134314 33579 0 0 0 PREVENT BLINDNESS FLORIDA 8401 BENJAMIN ROAD STE G TAMPA FL 33634 596181662 X 0 0 0 663361 663361 124504 31126 0 0 0 PREVENT BLINDNESS IOWA 1111 NINTH ST DES MOINES IA 50314 426083207 X 0 8500 8500 194712 203212 40642 10161 0 0 0 PREVENT BLINDNESS NORTH CAROLINA 4011 WESTCHASE BLVD RALEIGH NC 27607 566088141 X 0 15082 15082 1299884 1314966 206497 51624 0 0 0 PREVENT BLINDNESS INDIANA 70 EAST 91ST ST INDIANAPOLIS IN 46240 356040676 X 0 0 0 319378 319378 63876 15969 0 0 0 PREVENT BLINDNESS GEORGIA 739 WEST PEACHTREE ST NW STE 200 ATLANTA GA 30308 586050305 X 0 1050 1050 869058 870108 155516 38879 0 0 0